North Queensland Customs Services

North Queensland Customs Services

North Queensland Customs Services

CUSTOMS BROKERS

INTERNATIONAL FREIGHT FORWARDERS

296 Boundary StreetTelephone:+61 7 4772 2400

South TownsvilleFacsimile:+61 7 4772 3121

Queensland 4810Email:

P O Box 377, TownsvilleQueensland4810

Customs Broker Appointment

I (as the owner) appoint North Queensland Customs Services Pty Ltd, herein after referred to as NQCS Pty Ltd, as my Customs Agent under the Customs Act 1901.

(1) In consideration of NQCS Pty Ltd accepting appointmentas my customs agent, I authorise NQCS Pty Ltd, theirservants and agents to complete and sign declarationsand statements on my behalf as required by the Act inrelation to goods to be imported by me.

(2) GST STATUS. Tick andcomplete where applicable

- Pay GST at 10% of the (Customs Value +Insurance + Freight + Duty) ______

- We confirm our registration for the DEFERRALof the GST on imported goods ______

- We claim EXEMPTION under exemption item number ______

(3) I warrant the accuracy of the information which I havesupplied to NQCS Pty Ltd in the completed questionnaireand/or in the relevant commercial documents and confirmthat I diligently ascertained and supplied all relevantinformation, which I believe to be true.

(4) I acknowledge that NQCS Pty Ltd will be relying on and acting upon the information supplied by ...... and/or in the relevant commercial documents, for the purpose of making declarations and statements under the Customs Act on my behalf.

(5) NQCS Pty Ltd are authorised to continue to act on the information I have supplied to them in the completed questionnaire and/or in the relevant commercial documents until I notify them in writing of any changes.

(6) NQCS Pty Ltd are further authorised to make declarationsand statements under the Act on my behalf based oninformation given to NQCS Pty Ltd by my supplier.

(7) If NQCS Pty Ltd has any doubt about the accuracy of anyinformation I give or my supplier gives to NQCS Pty Ltd orin relation to the value or classification of goods to beimported by me, or if not enough information has beensupplied to NQCS Pty Ltd for the purpose of making a completed declaration or statement, I authoriseNQCS Pty Ltd to include in any statement or declarationdisclosure of their uncertainty in relation to particularinformation or in relation to the omission of particularinformation.

(8) Where I do not authorise NQCS Pty Ltd to makeapplication for valuation and/or tariff advice and/or I do notauthorise them to include in any statement or declarationdisclosure of their uncertainty in relation to the omission ofparticular information and/or I have chosen not tocomplete the valuation and classification questionnaire and ...

North Queensland CustomsServices

(9) In further consideration of NQCS Pty Ltd acceptingappointment as my customs agent in an on-goingcapacity:

(10) I agree that NQCS Pty Ltd, their servants and agents willnot be responsible for or liable in damages to me for anyloss, damages, fine, forfeiture or penalty I may suffer orincur arising from any false or misleading declaration orstatement or from any omission from any declaration orstatement made on my behalf in reliance upon theinformation which I have supplied to NQCS Pty Ltd in thecompleted questionnaire and/or relevant commercialdocuments or which I or my supplier may give to NQCSPty Ltd in future; and

(11) I indemnify and agree to keep NQCS Pty Ltd, theirservants and agents indemnified against any claims ordemands made against NQCS Pty Ltd or them or inrespect of any fines or penalties imposed upon NQCS PtyLtd or them arising from any declarations or statementsNQCS Pty Ltd or they make on my behalf based uponinformation which I or my supplier have given or may infuture give to NQCS Pty Ltd.

(12) And in so conducting business with NQCS Pty Ltd, weagree that we do so in accordance with their standard conditions of trading, which we acknowledge as beingprinted overleaf.

Dated this ______day of 20__

Signed:______

Director / Secretary / Authorised Officer of owner (Indicate which)

Print Name: ______

Signed: ______

C.MCMAHON – MANAGING DIRECTOR

"All business transacted is subjected to the Company's Standard Trading Conditions of Contract. A copy of which is available upon request and which, in certaincircumstances, exclude the Company's liability and include certain indemnities which benefit the Company"

North Queensland CustomsServices

AUTHORITY TO ACT

AS FROM.______I/WE ______

(DATE) (NAME)

OF ______

(Nameof Business)

ADDRESS: ______

A.C.N ______A.B.N ______B.R.N ______

OFFIClALLYAUTHORISE

North Queensland Customs Services

P.OBox 377, TownsvilleQueensland 4810

296 Boundary Street, South Townsville. Queensland 4810Australia

Australian Customs Brokers.

International Freight Forwarders.

Import - Export Trade Advisers.

Phone: (07) 4772 2400

Facs: (07) 4772 3121

A.B.N. 62 010 601 653

Email:

SPECIMEN SIGNATURES: C.C.MC MAHON ......

TO ATTEND TO: LODGEMENT, COLLECTION, SIGNING, PAYMENT, CLEARANCE,FORWARDING, HANDLING, DELIVERY, AND ALL OTHER MATTERSRELATING TO THE PROCESSING OF IMPORT/EXPORT DOCUMENTATIONAND GOODS, AS REQUIRED ON OUR BEHALF.

GST STATUS.....tick complete where applicable

Pay GST at 10% of the (Customs Value + Insurance + Freight + Duty) ______

We confirm our registration for the DEFERRAL of the GST on imported goods ______

We claim EXEMPTION under exemption item number ______

ALL PREVIOUS AUTHORITIES ARE CANCELLED AS FROM THE ABOVE DATE.

BUSINESS STAMP

___

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AUTHORISED SIGNATURE: ______

OFFICIAL POSITION: ______

PH:

FAX:

MOBILE:

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All business transacted is subjected to the Company's Standard Trading Conditions of Contract, a copy of which are available upon request and which, in certain circumstances, exclude the Company's liability and include certain indemnities which benefit the Company".